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Individual

MRS. TIFFANY ANN MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
13111 W ALAMEDA PKWY, LAKEWOOD, CO 80228-3108
(303) 980-0283
(303) 980-0923
Mailing address
6339 W ROXBURY PL, LITTLETON, CO 80128-4675
(303) 954-8932

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17643
CO
183500000X
Pharmacist
3149
WY
183500000X
Pharmacist
PH00065407
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17643
PHARMACIST
CO
01
3149
PHARMACIST
WY
01
PH00065407
PHARMACIST
WA
Enumeration date
03/11/2007
Last updated
04/25/2010
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